Gordon Elwood Haag in Fullerton - General Practice
Gordon Elwood Haag - NPI 1215059837
Gordon Elwood Haag is a General Practice in Fullerton, California. Gordon Elwood Haag practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gordon Elwood Haag is 1215059837. The last update date is 2012-01-10.
Gordon Elwood Haag's current location address is 301 W Bastanchury Rd, Fullerton, California. You can contact this provider via phone number 7148794910 and fax number 7148795563. The mailing address for Gordon Elwood Haag is 301 W Bastanchury Rd, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Elwood Haag |
|---|---|
| Address | 301 W Bastanchury Rd, Fullerton, California |
| Phone Number | 7148794910 |
| Fax Number | 7148795563 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1215059837 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2012-01-10 |
Provider Mailing Address Detail
| Address | 301 W Bastanchury Rd |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928353419 |
| Phone Number | 7148794910 |
| Fax Number | 7148795563 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 27292 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Gordon Elwood Haag by the Centers for Medicare & Medicaid Services?
The Gordon Elwood Haag has been issued the NPI (National Provider Identifier) 1215059837, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gordon Elwood Haag is geographically located?
The Gordon Elwood Haag is physically situated at the following location: 301 W Bastanchury Rd, Fullerton, CA, 928353419.
What is the Gordon Elwood Haag's specialty and taxonomy code?
The Gordon Elwood Haag's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did Gordon Elwood Haag receive its 1215059837 assignment from the Centers for Medicare & Medicaid Services?
The Gordon Elwood Haag was assigned its 1215059837 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gordon Elwood Haag most recently updated or revised?
The details related to Gordon Elwood Haag, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-10.